Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GK F3 E3 > Biliary Popcorn 2 > Flashcards

Biliary Popcorn 2 Flashcards

1
Q

Condition?

  • CBD is MC location
  • Bacteria infects bile
  • Pus under pressure –> surgical emergency
  • Fever / RUQ p / Jaundice
  • Leuks >20,000
  • Cholestasis: ↑conj bil, ↑alk phos
  • Absent urobil on UA

Tx?

A

Ascending/Acute Cholangitis

Tx:

  • Admit & consult gastroent emergently!
  • Broad abx: piper-taco, Cef+Metro, Cipro+Metro
  • ERCP w/ sphincterotomy & stone extraction, stent placement
  • Follow w/ CCY
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Condition?

  • Appears acutely ill
  • Diaphoretic
  • +fever, tachy, hypotension
  • Icterus
  • RUQ/Epi & guarding
  • AMS**
A

Ascending/Acute Cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Charcot’s Triad?

Which condition?

A

Ascending/Acute Cholangitis

  • Fever/Chills
  • RUQ pain
  • Jaundice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Reynolds Pentad?

Which condition?

A

Ascending/Acute Cholangitis

Charcot’s Triad:

  • Fever/Chills
  • RUQ pain
  • Jaundice

+ Reynold’s

  • Hypotension
  • AMS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • Temporary RUQ pain episodes
  • No fever
  • No leukocytosis
  • No jaundice
A

Biliary Colic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • Persistent RUQ pain
  • Fever
  • Leukocytosis
  • No jaundice
A

Acute Cholecystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • RUQ/epigastric pain
  • Jaundice
  • No fever
  • No leukocytosis
A

Choledocholithiasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • RUQ/epigastric pain
  • Jaundice
  • Fever
  • Leukocytosis
A

Ascending Cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

31 y/o female

  • RUQ pain x 8 hours
  • Fever
  • Hx of 4 – 5 similar episodes
  • Leukocytosis
  • No obstruction: bilirubin normal
A

Acute Cholecystitis (sxs >6 hrs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which condition?

  • Females 35-60
  • Autoimmune
  • –> cirrhosis / liver failure
A

Primary Biliary Cirrhosis (PBC)

B=Breasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • Fatigue
  • Pruritis à followed by jaundice
  • Arthritis
  • RUQ pain
  • Hyperpigmentation of skin
  • Xanthomas
  • Hepatomegaly
  • CREST sxs – limited scleroderma (Calcinosis under skin, Raynaud’s, Esophageal dysfunction, Sclerodactyly, Telangectasias)
A

PBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

AMA is hallmark

ANA

Livery biopsy

A

PBC (primary biliary cirrhosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tx for PBC?

A

Urso

DEXA (bone density)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Condition?

  • MEN
  • 75% w/ Ulcerative Colitis
  • Inflammation/fibrosis of med-large ducts
  • 10-12 yr survival after diagnosed

Tx?

A

Primary Sclerosing Cholangitis (PSC)

S= scrotum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Condition?

  • Steatorrhea
  • Pruritis AFTER jaundice
  • Fatigue
  • P-ANCA, ASMA, ANA, IgM
  • ERCP, MRCP
  • Don’t do liver biopsy…
A

PSC

(Primary Sclerosing Cholangitis)

17
Q

Complications of PSC?

A
  • Cirrhosis
  • Osteoporosis
  • Biliary stricture
  • Cholangitis**
  • Cholangiocarcinoma**
  • Gallbladder cancer**
  • Colon cancer (if IBD – Ulcerative Colitis is present)**
18
Q

Tx for PSC?

A
  • DEXA
  • ERCP
  • Liver transplant (for advanced dz)
19
Q

Condition?

  • Deficiency in enzyme for glucuronidation of bilirubin in liver (conjugation)
  • Homozygous
  • Suspect in pts w/ unconjugated hyperbilirubinemia in the absence of hemolysis
  • NORMAL labs
A

Gilbert’s Syndrome

20
Q

Condition?

  • Majority of biliary tract cancers (>50%)
  • RF: cholelithiasis, gallbladder polyps >1cm, Salmonella infection
  • Sxs of malignancy (anorexia / weight loss)
A

GB cancers

21
Q

Condition?

  • Adenocarcinoma of bile ducts (intra/extra hepatic)
  • Assoc w/ PSC & Choledochal cysts
  • ***Jaundice+++
  • Vague upper abd pain
  • Anorexia
  • weight loss
A

Cholangiocarcinoma

22
Q

Condition?

  • Labs: cholestasis (obstructive pattern)
  • ↑conjugated bilirubin & alk phos
  • ↑ Tumor marker CA 19-9
A

Cholangiocarcinoma

23
Q

Condition?

  • where CBD & pancreatic duct come together
  • RARE
  • Assoc w/ familial adenomatous polyposis (FAP) & Hereditary Non-Polyposis Colon Cancer (HNPCC)
A

Ampullary Cancer

24
Q

Condition?

  • Obstructive jaundice (MC)
  • Occult GIB à Microcytic Anemia
  • Abdominal pain
  • Microcytic Anemia
A

Ampullary Cancer

GK F3 E3 (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions